Provider Demographics
NPI:1629162243
Name:AGUILAR, ALEJANDRO FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:FRANCISCO
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3034 E FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-5828
Mailing Address - Country:US
Mailing Address - Phone:323-587-1743
Mailing Address - Fax:323-587-8028
Practice Address - Street 1:3034 E FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-5828
Practice Address - Country:US
Practice Address - Phone:323-587-1743
Practice Address - Fax:323-587-8028
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36086207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95-3982098OtherTAX ID
CA00A360861OtherMEDICAL
CAA36086OtherCA STATE LICENSE
CAAA8568240OtherDEA
CAA36086Medicare ID - Type UnspecifiedMEDICARE
CA95-3982098OtherTAX ID